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The Human Microbiome in Health and Disease Curtis Huttenhower Harvard School of Public Health Department of Biostatistics 10-21-11 What’s metagenomics? Total collection of microorganisms within a community Also microbial community or microbiota Total genomic potential of a microbial community Study of uncultured microorganisms from the environment, which can include humans or other living hosts Total biomolecular repertoire of a microbial community 2 Valm et al, PNAS 2011 What to do with your metagenome? Reservoir of gene and protein functional information Who’s there? What are they doing? Comprehensive snapshot of microbial ecology and evolution Who’s there varies: your microbiota is plastic and personalized. What they’re doing is adapting to their environment: you, your body, and your environment. Public health tool monitoring population health and interactions Who’s Diagnostic or there and what prognostic differ during disease and biomarker for host disease they do treatment. 4 Slides by Dirk Gevers The NIH Human Microbiome Project (HMP): A comprehensive microbial survey • • • • • What is a “normal” human microbiome? 300 healthy human subjects Multiple body sites • 15 male, 18 female Multiple visits Clinical metadata www.hmpdacc.org A functional perspective on the human microbiome Healthy/IBD BMI Diet 100 subjects 1-3 visits/subject ~7 body sites/visit 10-200M reads/sample 100bp reads BLAST Functional seq. KEGG + MetaCYC Metagenomic reads CAZy, TCDB, VFDB, MEROPS… Taxon Geneabundances SNP Enzyme family abundances expression genotypes Pathway abundances ? Enzymes and pathways HUMAnN HMP Unified Metabolic Analysis Network http://huttenhower.sph.harvard.edu/humann 6 HUMAnN: Metabolic reconstruction Oral (BM) Oral (TD) Gut ← Pathways→ Vaginal Skin Nares Oral (SupP) ← Samples → Oral (BM) Gut Oral (SupP) Oral (TD) Skin Nares ← Pathways→ Vaginal ← Samples → Pathway coverage Pathway abundance 7 A portrait of the healthy human microbiome: Who’s there vs. what they’re doing ← Pathway abundance → Nares Oral (BM) Vaginal Skin Gut Oral (SupP) Oral (TD) ← Pathway abundance → ← Phylotype abundance → ← Phylotype abundance → ← Subjects → ← Subjects → 8 Linking function to community composition ← Taxa and correlated metabolic pathways → ← 52 posterior fornix microbiomes → Plus ubiquitous pathways: transcription, translation, cell wall, portions of central carbon metabolism… Lactobacillus crispatus Phosphate and peptide transport Lactobacillus jensenii Sugar transport Lactobacillus gasseri Embden-Meyerhof glycolysis, phosphotransferases Lactobacillus iners F-type ATPase, THF Gardnerella/Atopobium AA and small molecule biosynthesis Candida/Bifidobacterium Eukaryotic pathways 9 Linking communities to host phenotype Normalized relative abundance Top correlates with BMI in stool Body Mass Index Vaginal pH (posterior fornix) Vaginal pH, community metabolism, and community composition represent a strong, direct link between phenotype and function in these data. Vaginal pH (posterior fornix) 10 So that’s normal – what about disease? With Matthew Meyerson, Alex Kostic LEfSe: LDA Effect Size Nicola Segata http://huttenhower.sph.harvard.edu/lefse 11 So that’s normal – what about disease? Total Healthy CD UC M F <18 18-65 >65 OSCCAR 116 8 61 47 68 48 23 84 9 PRISM 112 27 58 27 61 51 0 110 2 • Treatments: • • • • • Location: • Mucosal (biopsy) • Luminal (stool) Antibiotics Immunosup. Mesalamine Steroids ~1-4K 16S reads/sample • Genetics: • ~200 loci, IBD-targeted Total Healthy CD UC M F Lean Ov. Ob. Danish 86 86 0 0 42 44 35 14 37 Spanish 38 13 4 21 14 24 18 15 5 Qin 2010 ~1-2Gbp 75bp shotgun reads/sample 12 Microbes and their environment: What’s disease, what’s treatment, and what’s unrelated? ~200 OSCCAR+PRISM individuals • Multiple Factor Analysis: Form of Principal Components Analysis • Separates individuals by similar patterns of variation in the gut microbiota 13 Microbes and their environment: What’s disease, what’s treatment, and what’s unrelated? ~200 OSCCAR+PRISM individuals ? 14 Microbes and their environment: What’s disease, what’s treatment, and what’s unrelated? ~200 OSCCAR+PRISM individuals Firmicutes (Clostridia) Bifidobacteria Proteobacteria (Enterobacteriaceae) 15 Environment and disease: You are your microbes’ environment: age, sampling, and treatment Firmicutes Escherichia ~200 OSCCAR+PRISM individuals Stool vs. biopsy Dorea Bifidobacterium Immunosuppresion Antibiotics Age 16 • In this cohort, main effects are a superset of previous findings • Eggerthella in UC, weaker eff. than CD Faecalibacterium Roseburia Ruminococcus But what about IBD? Willing 2010 Frank 2007, Willing 2010 • Ruminococcus down Willing 2010, Joossens 2011 • Also correctly classify environment • Proteobacteria up (immunosup.) Eggerthella • Roseburia (Lachnospiraceae) down Ileal involvement Frank 2007, Willing 2010 • Faecalibacterium down (ileal) Willing 2010, Frank 2011, Joossens 2011 • And hey, what about… • Diet? Sample handling? Assay? 17 But what about functional detail? IBD in the MetaHIT cohort MetaHIT seqs. → HUMAnN → pathway abundances Up in CD Down in CD DNA maintenance CC + growth Sugar utilization Signaling + secretion Iron + drug transport UC 18 What about the host? A preview of host genetics With GwangPyo Ko All linked to the same family of Clostridiales Host genetics matter when not trumped by additional environment glycoprotein glycoprotein glycoprotein glycoprotein Genotyped microbiomes: 98 women (twin pairs + mothers) vaginal microbiomes + HPV phenotypes innate immune sensor extracellular signal transduction unch. TF glycoprotein glycoprotein 19 A model for host genetics and the microbiome Many genes exert indirect control over many bugs due to polygenic immunity and disease phenotypes. A few genes exert strong control over a few bugs. A few bugs and many functions are strong proximal indicators or controllers of disease. Many genes exert strong distal control over many bugs due to founder effects. Environment exerts strong proximal control over many bugs. 20 Ask both what you can do for your microbiome and what your microbiome can do for you Thanks! Human Microbiome Project Nicola Segata Levi Waldron Xochi Morgan Dirk Gevers George Weinstock Karen Nelson Joe Petrosino Sahar Abubucker Owen White Yuzhen Ye Mihai Pop Beltran Rodriguez-Mueller Pat Schloss Jeremy Zucker Makedonka Mitreva Qiandong Zeng Erica Sodergren Mathangi Thiagarajan Vivien Bonazzi Brandi Cantarel Jane Peterson Maria Rivera Lita Proctor Barbara Methe Bill Klimke Daniel Haft HMP Metabolic Reconstruction Joseph Moon Fah Sathira Tim Tickle Ramnik Xavier Harry Sokol Jacques Izard Vagheesh Narasimhan Josh Reyes Wendy Garrett Michelle Rooks Jeroen Raes Karoline Faust Shuji Ogino Charlie Fuchs Bruce Birren Mark Daly Doyle Ward Eric Alm Ashlee Earl Lisa Cosimi Interested? We’re recruiting graduate and rotation students! Matthew Meyerson Alex Kostic http://huttenhower.sph.harvard.edu 22 Proteoglycan degradation by the gut microbiota Glycosaminoglycans (Polysaccharide chains) AA core 24 Proteoglycan degradation: From pathways to enzymes Enzyme relative abundance 10-8 10-3 • Heparan sulfate degradation missing due to the absence of heparanase, a eukaryotic enzyme • Other pathways not bottlenecked by individual genes • HUMAnN links microbiome-wide pathway reconstructions → site-specific pathways → individual gene families 25 Niche specialization in human microbiome function ← Pathway abundance→ Metabolic modules in the KEGG functional catalog enriched at one or more body habitats ← ~700 HMP communities→ • 16 (of 251) modules strongly “core” at 90%+ coverage in 90%+ individuals at 7 body sites • 24 modules at 33%+ coverage • 71 modules (28%) weakly “core” at 33%+ coverage in 66%+ individuals at 6+ body sites • Contrast zero phylotypes or OTUs meeting this threshold! • Only 24 modules (<10%) differentially covered by body site • Compare with 168 modules (>66%) differentially abundant by body site 26 Patterns of variation in human microbiome function by niche 27 Patterns of variation in human microbiome function by niche • Three main axes of variation • Eukaryotic exterior • Low-diversity vaginal • Gut metabolism • Oral vs. tooth hard surface • Only broad patterns: every human-associated habitat is functionally distinct! 28 LEfSe: the TRUC murine colitis microbiota With Wendy Garrett 29 But what about functional detail? IBD in the MetaHIT cohort Bifidobacterium Up in CD Down in CD Age UC 30